Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Baseblock Sculpturing Using the Scoring Technique for the Reconstruction of Ear

다발성 부분층 절개술을 이용한 늑연골 조각을 통한 이개재건

  • Lee, Yoonho (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kim, Hyun Seok (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 이윤호 (서울대학교 의과대학 성형외과학교실) ;
  • 김현석 (서울대학교 의과대학 성형외과학교실)
  • Received : 2004.09.20
  • Published : 2005.01.10
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Abstract

Total auricular reconstruction with autogenous tissue remains one of the greatest technical challenges for reconstructive plastic surgeons because of the ear's complex morphology with delicately convoluted cartilages and very thin skin. In a successfully created ear, a natural three-dimensional illusion visualized from the patient's profile, frontal, and posterior views is crucial. Accordingly ear framework should have adequate lateral aspect as well as suitable frontal aspect even before being lifted to this purpose. For this goal, rib cartilage should be harvested from three-dimensionally adequate area. It is the most essential point in framework fabrication that the baseblock should have semi-cup curvature via multiple parallel cuts made on its medial surface. Between January 1999 and May 2003, we performed 29 cases of total ear reconstruction with autogenous rib cartilage graft using this scoring technique and obtained satisfactory results, which showed more natural appearance visualized from the patient's profile, frontal, and posterior views.

Keywords

References

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